Leo Altamirano, MD | |
311 E Spruce St, Garden City, KS 67846 | |
(620) 275-3700 | |
Not Available |
Full Name | Leo Altamirano |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 311 E Spruce St, Garden City, Kansas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184677403 | NPI | - | NPPES |
200657740A | Medicaid | KS | |
04-34459 | Other | KS | KS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 04-34459 (Kansas) | Primary |
Entity Name | St. Catherine Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659360196 PECOS PAC ID: 4789595844 Enrollment ID: O20050302000707 |
Mailing Address | Practice Location Address |
---|---|
Leo Altamirano, MD 311 E Spruce St, Garden City, KS 67846 Ph: (620) 275-3700 | Leo Altamirano, MD 311 E Spruce St, Garden City, KS 67846 Ph: (620) 275-3700 |
Dr. Michael W Shull, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3730 | |
Dr. Lindsay Jeanne Byrnes, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 | |
Nandhini Sehar, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3710 Fax: 620-275-3767 | |
Dr. James T. Zauche, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 | |
Ms. Rachel Tanya Boodram, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3730 Fax: 620-275-3767 | |
Dr. Elizabeth A. Doyle, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 311 E Spruce St, Garden City, KS 67846 Phone: 620-275-3700 |